| NPI | 1083153449 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835C0205X Pharmacist, Critical Care (Licence: CT PCT.0013931) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CT PCT.0013931) |
| Enumeration Date | 2017-02-17 |
| Last Update Date | 2021-07-10 |